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MVP ENDOVASCULAR CENTER PLLC NPI 1194202234


NPI Information

NPI: 1194202234
Provider Name: MVP ENDOVASCULAR CENTER PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 23D2154702

Address:
22720 MICHIGAN AVE STE 300
DEARBORN, MI
ZIP 48124
Phone: (313) 791-3000
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MVP ENDOVASCULAR CENTER PLLC is a cardiovascular disease internal medicine in Dearborn, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MVP ENDOVASCULAR CENTER PLLC NPI is 1194202234. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22720 MICHIGAN AVE STE 300
DEARBORN, MI
ZIP 48124-035
Phone: (313) 791-3000

The provider's authorized official is Jeffrey Allen Reichman .
The authorized official title is Consulting Manager and has the following contact phone number (513) 697-8557.

The CLIA number assigned to this NPI record is 23D2154702 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2018 and was last updated on 7/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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